Doctors in a Southeast Asian country communicate sub-optimally regardless of patients' educational background |
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Authors: | Claramita Mora Dalen Jan Van Van Der Vleuten Cees Pm |
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Institution: | a Faculty of Medicine Universitas Gadjah Mada (UGM), Sekip Utara Yogyakarta, Indonesia b School of Health Profession Education, Maastricht University (MU), Maastricht, The Netherlands |
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Abstract: | ObjectiveTo explore the relationship between the style of doctor-patient communication and patients’ educational background in a Southeast Asian teaching hospital setting using the Roter Interaction Analysis System (RIAS).MethodsWe analyzed a total of 245 audio-taped consultations involving 30 internal medicine residents with 7-10 patients each in the internal medicine outpatient clinics. The patients were categorized into a group with a high and a group with a low educational level. We ranked the data into 41 RIAS utterances and RIAS-based composite categories in order of observed frequency during consultations.ResultsThe residents invariantly used a paternalistic style irrespective of patients’ educational background. The RIAS utterances and the composite categories show no significant relationship between communication style and patients’ educational level.ConclusionDoctors in a Southeast Asian country use a paternalistic communication style during consultations, regardless of patients’ educational background.Practice implicationTo approach a more partnership doctor-patient communication, culture and clinical environment concern of Southeast Asian should be further investigated. |
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Keywords: | Doctor-patient communication The continuum of partnership style The RIAS method Intercultural communication |
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